Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Genghis Line, MD

Individual provider Family Medicine Physician · NPI 1881818615

Charles Genghis Line, MD is a Family Medicine Physician in Clarkston, Michigan. Licensed in Michigan and Virginia. Registered with an NPI since 2007.

Licensed in
MI, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6483 Citation Dr Ste B
Clarkston, MI 48346-2994
Phone: (248) 922-3074
Fax: (248) 922-3081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301095854 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101241384 (VA)

Record details

NPI number1881818615
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESDecember 16, 2011

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